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INDIAN VACCINE DIPLOMACY: VACCINE MAITRI
Kapil Kumar Goel
Assistant Professor (Stage-2)
Department of Pharmaceutical Sciences,
Gurukul Kangri (Deemed to be University) Haridwar
Email
kapilgoel@gkv.ac.in
kapilgoel9@gmail.com
VACCINE MAITRI
• Humanitarian initiative undertaken by the Indian
government to provide COVID-19 vaccines to countries
around the world.
“No one is safe until everyone is safe”
Kapil K Goel
SUPPLY FROM INDIA
• The government started providing vaccines from 20
January 2021. As of 21 February 2022, India had
delivered around 16.29 crore (162.9 million) doses of
vaccines to 96 countries.
• 1.43 crore doses were gifted to 48 countries by the
Government of India.
Kapil K Goel
• 200,000 doses of COVID-19 vaccines were gifted by India
to the UN peacekeepers on 27 March to be distributed to
all peacekeeping missions.
• 10.71 crore were supplied by the vaccine producers under
its commercial and 4.15 crore were supplied by COVAX
obligations.
Kapil K Goel
Country Total
Bangladesh 225.928
Myanmar 212.000
Nepal 94.990
Bhutan 5.500
Maldives 3.120
Mauritius 4.000
Seychelles 0.500
Sri Lanka 12.640
Bahrain 1.000
Brazil 40.000
Morocoo 70.000
Oman 1.000
Egypt 0.500
Algeria 0.500
South Africa 10.000
Kuwait 2.000
UAE 2.000
Afghanistan 14.680
Barbados 1.000
Dominica 0.700
Mexico 20.300
Dominican Republic 1.400
Saudi Arabia 45.000
El Salvador 1.100
Argentina 5.800
Serbia 1.500
UN Health workers 1.250
Mongolia 1.500
Ukraine 5.000
Ghana 27.040
Ivory Coast 5.540
St. Lucia 0.250
St. Kitts & Nevis 0.200
St. Vincent & 0.400
Country Total
Grenadines
Suriname 0.500
Antigua & Barbuda 0.400
DR Congo 17.660
Angola 6.240
Gambia 0.360
Nigeria 97.660
Cambodia 3.340
Kenya 11.200
Lesotho 0.360
Rwanda 7.900
Sao Tome & Principe 0.240
Senegal 3.490
Guatemala 2.000
Canada 5.000
Mali 3.960
Sudan 18.360
Liberia 0.960
Malawi 4.100
Uganda 9.640
Nicaragua 3.350
Guyana 0.800
Jamaica 0.500
UK 50.000
Togo 1.560
Djibouti 0.240
Somalia 8.400
Seirra Leone 0.960
Belize 0.250
Botswana 1.300
Mozambique 12.040
Ethiopia 21.840
Tajikistan 8.905
Benin 1.440
Country Total
Eswatini 0.320
Bahamas 0.200
Cape Verde 0.240
Iran 11.250
Uzbekistan 7.959
Solomon Islands 0.240
Laos 7.260
Namibia 0.300
Bolivia 2.280
South Sudan 1.320
Paraguay 6.000
Fiji 1.000
UN Peacekeepers 2.000
Zimbabwe 0.750
Niger 3.802
Palestine 0.250
Yemen 3.600
Nauru 0.100
Trinidad & Tobago 0.400
Guinea 1.944
Papua New Guinea 1.320
Guinea Bissau 0.288
Zambia 2.280
Comoros 0.120
Cameroon 3.912
Mauritania 0.696
Albania 0.500
Syria 2.568
Indonesia 90.080
Australia 63.533
Netherlands 289.830
*Supplies so far (In lakhs)(As on 25 August 2022 at 1700 hrs)
https://www.mea.gov.in/vaccine-supply.htm
Supplies in form of GRANT, Commercial and COVAX Obligation
Kapil K Goel
COVAX Initiatives of WHO
Working for global equitable access for every country in the
world to COVID-19 vaccines
It aims to accelerate the development and manufacture of
COVID-19 vaccines and to guarantee fair and equitable
access for every country in the world.
WHO has multiple roles within COVAX: It provides
normative guidance on vaccine policy, regulation, safety,
R&D, allocation, and country readiness and delivery.
“COVAX is co-led by the Coalition for Epidemic
Preparedness Innovations (CEPI), Gavi and the
World Health Organization (WHO), alongside
key delivery partner UNICEF”
Kapil K Goel
Attitude of India towards world
India Supplied
80 % od Doses
for COVAX
initiatives
Kapil K Goel
Short Break in Vaccine Maitri
• In late March 2021, the Government of India temporarily
froze exports of the Covishield, citing India's own COVID
crisis and the domestic need for these vaccines.
• The Health Minister of India, Mr. Mansukh Mandaviya
announced in September that India will resume the export
of vaccines from October to the rest of the world.
Kapil K Goel
VACCINES
Covishield
• On 1 January 2021, the Drug Controller General of India,
approved the emergency or conditional use of Covishield.
Covishield is developed by the University of Oxford and
its spin-out company, Vaccitech.
QUALITATIVE AND QUANTITATIVE COMPOSITION
(i) 5 × 1010 virus particles (vp) *Recombinant, replication-deficient
chimpanzee adenovirus vector encoding the SARS-CoV-2 Spike (S)
glycoprotein. Produced in genetically modified human embryonic
kidney (HEK) 293 cells. [This product contains genetically modified
organisms (GMOs)]
(ii) List of excipients: L-Histidine, L-Histidine hydrochloride monohydrate,
Magnesium chloride hexahydrate, Sucrose, Sodium chloride, Disodium edetate
dihydrate (EDTA) and water for injection
Kapil K Goel
VACCINES FROM INDIA
• India has two approved COVID-19 vaccines: Covishield
and Covaxin.
• Both of them were exported and used in foreign grants by
the Government of India.
• Of the two vaccines, COVAXIN is an inactivated
vaccine whereas COVISHIELD is a live vaccine.
Kapil K Goel
Covaxin
• On 2 January 2021, Covaxin India's first COVID-19 vaccine,
developed by Bharat Biotech in association with the Indian
Council of Medical Research and National Institute of Virology
received approval from the Drug Controller General of India for
its emergency or conditional usage.
• Composition
6µg of whole-virion inactivated SARS-CoV-2 antigen (Strain: NIV-2020-
770),
Other inactive ingredients
-Aluminium hydroxide gel 250 µg,
-TLR 7 / 8 agonist (imidazo quinolinone) 15 µg,
- 2-phenoxyethonol 2. 5 mg,
-
- and phosphate buffer saline upto 0. 5 ml.)
Kapil K Goel
Vaccine supply
• India kicked off international shipment of the vaccines on
20 January 2021, only four days after starting its own
vaccination program.
• Bhutan and Maldives were the first countries to receive
vaccines as a grant by India.
• This was quickly followed by shipments to Nepal,
Bangladesh, Myanmar and Seychelles.
• By mid-March 2021, India was also supplying vaccines on
a commercial basis to countries including Canada, UK
and Saudi Arabia.
• In May, when COVAX was already short 140 million
doses, the Serum Institute announced that it expected to
maintain its suspension of vaccine deliveries to COVAX
through the end of 2021 due to the second wave of
COVID-19 in India and the US ban on export of key raw
materials.
Kapil K Goel
Self centered Countries during pandemic
Kapil K Goel
International reaction on Vaccine Maitri
• International Monetary Fund (IMF)
IMF chief economist Gita Gopinath appriciated India for playing a
key role during the crisis by dispatching vaccines to many
countries. She said "I also want to mention that India really
stands out in terms of its vaccine policy. If you look at where
exactly is one manufacturing hub for vaccines in the world – that
will be India
Kapil K Goel
Countries Reactions on Vaccine Maitri
• Jamaica of the Organisation of African, Caribbean and Pacific
States (OACPS)
has thanked Indian efforts in delivering vaccines to
developing and least developed countries.
Nepal
Prime minister Khadga Prasad Oli thanked India stating;
“We got an early chance to administer the Covid-19
vaccine. For this, I thank our neighbouring nation India, its
government, the people, and especially Prime Minister
Narendra Modi. They sent 10 lakh doses of vaccines to us
as a grant within a week of the roll-out in India.”
Kapil K Goel
Bhutan and Bangladesh
• Until April 2021, India was one of the world’s leaders in
vaccine diplomacy- delivering over 65 million doses
worldwide.
During that time, Indian made
strides in improving its relations
with recipient neighbors like
Nepal and Bangladesh.
Kapil K Goel
• Antigua and Barbuda
Prime Minister Gaston Browne had thanked Prime Minister of India
Narendra Modi "for demonstrating an act of benevolence, kindness and
empathy", for sending vaccines to Caribbean countries.
• Afghanistan
Afghanistan's ambassador to India Farid Mamundzay said "Thank you,
India for providing Afghan people lifesaving gift on the first day of
2022!"
Kapil K Goel
St. Lucia,Barbados and Combodia
St. Lucia on behalf of CARICOM
thanked India for providing vaccine supplies to them.[21][23]
Barbados
Prime Minister Mia Amor Mottley thanked Prime Minister
Narendra Modi for the supply of "Made in India" COVID-19
vaccines.
She tweeted, "PM Modi made it possible for more than 40,000
persons in Barbados and tens of thousands elsewhere, to
receive their 1st dose of COVISHIELD via Vaccine Maitri before
receiving his. A genuine demonstration of generosity. Thank you
and we wish you continued good health.
Leaders who received vaccines provided by India for promoting
Indian Vaccine in his own countires
• Cambodia – Heng Samrin, Say Chhum
• Nepal – KP Sharma Oli
Kapil K Goel
Indonesia, Thailand and Srilanka
• In July 2021,Indonesia and Thailand announced that they
were moving away from Chinese Sinovac vaccines
because of concerns of their quality and efficacy. They
decided on other vaccines like those created by
AstraZeneca (of which India is one of the largest
producers).
• Additionally, other countries like Sri Lanka have seen
controversies concerning the high financial cost of the
Chinese vaccines.
Kapil K Goel
International actions in COVID 19 Pandemic
• WHO and the European Union joined forces to support
eight South East Asian countries in their response to
COVID-19 and to strengthen preparedness for future
pandemics.
• The EU recently donated €20 million for a South East Asia
pandemic response and preparedness programme. WHO
will use the funds to continue supporting the governments
of Cambodia, Indonesia, Lao People’s Democratic
Republic, Malaysia, Myanmar, the Philippines, Thailand
and Viet Nam.
Kapil K Goel
QUAD Reaction
• In September 2021, the international group known as the
Quad (comprised of the US, Japan, Australia, and India)
reiterated support for the Quad Vaccine Partnership,
which aims to pool each country’s resources to provide
around 1 billion vaccines to be distributed globally by the
end of 2022. This a strong alternative for countries either
considering or already receiving vaccines from China.
Kapil K Goel
South Asian Countries
• However, many South Asian countries prefer a balance of
power between India and China in the region and are
therefore eager to see India shipping vaccines at full
capacity again.
Kapil K Goel
Challenges
• The opportunity is there for India, but whether India will
permanently become a reliable vaccine exporter or shrink
away again in the face of another wave remains to be
seen.
Kapil K Goel
Thank you
Kapil K Goel

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INDIAN VACCINE DIPLOMACY: VACCINE MAITRI

  • 1. INDIAN VACCINE DIPLOMACY: VACCINE MAITRI Kapil Kumar Goel Assistant Professor (Stage-2) Department of Pharmaceutical Sciences, Gurukul Kangri (Deemed to be University) Haridwar Email [email protected] [email protected]
  • 2. VACCINE MAITRI • Humanitarian initiative undertaken by the Indian government to provide COVID-19 vaccines to countries around the world. “No one is safe until everyone is safe” Kapil K Goel
  • 3. SUPPLY FROM INDIA • The government started providing vaccines from 20 January 2021. As of 21 February 2022, India had delivered around 16.29 crore (162.9 million) doses of vaccines to 96 countries. • 1.43 crore doses were gifted to 48 countries by the Government of India. Kapil K Goel
  • 4. • 200,000 doses of COVID-19 vaccines were gifted by India to the UN peacekeepers on 27 March to be distributed to all peacekeeping missions. • 10.71 crore were supplied by the vaccine producers under its commercial and 4.15 crore were supplied by COVAX obligations. Kapil K Goel
  • 5. Country Total Bangladesh 225.928 Myanmar 212.000 Nepal 94.990 Bhutan 5.500 Maldives 3.120 Mauritius 4.000 Seychelles 0.500 Sri Lanka 12.640 Bahrain 1.000 Brazil 40.000 Morocoo 70.000 Oman 1.000 Egypt 0.500 Algeria 0.500 South Africa 10.000 Kuwait 2.000 UAE 2.000 Afghanistan 14.680 Barbados 1.000 Dominica 0.700 Mexico 20.300 Dominican Republic 1.400 Saudi Arabia 45.000 El Salvador 1.100 Argentina 5.800 Serbia 1.500 UN Health workers 1.250 Mongolia 1.500 Ukraine 5.000 Ghana 27.040 Ivory Coast 5.540 St. Lucia 0.250 St. Kitts & Nevis 0.200 St. Vincent & 0.400 Country Total Grenadines Suriname 0.500 Antigua & Barbuda 0.400 DR Congo 17.660 Angola 6.240 Gambia 0.360 Nigeria 97.660 Cambodia 3.340 Kenya 11.200 Lesotho 0.360 Rwanda 7.900 Sao Tome & Principe 0.240 Senegal 3.490 Guatemala 2.000 Canada 5.000 Mali 3.960 Sudan 18.360 Liberia 0.960 Malawi 4.100 Uganda 9.640 Nicaragua 3.350 Guyana 0.800 Jamaica 0.500 UK 50.000 Togo 1.560 Djibouti 0.240 Somalia 8.400 Seirra Leone 0.960 Belize 0.250 Botswana 1.300 Mozambique 12.040 Ethiopia 21.840 Tajikistan 8.905 Benin 1.440 Country Total Eswatini 0.320 Bahamas 0.200 Cape Verde 0.240 Iran 11.250 Uzbekistan 7.959 Solomon Islands 0.240 Laos 7.260 Namibia 0.300 Bolivia 2.280 South Sudan 1.320 Paraguay 6.000 Fiji 1.000 UN Peacekeepers 2.000 Zimbabwe 0.750 Niger 3.802 Palestine 0.250 Yemen 3.600 Nauru 0.100 Trinidad & Tobago 0.400 Guinea 1.944 Papua New Guinea 1.320 Guinea Bissau 0.288 Zambia 2.280 Comoros 0.120 Cameroon 3.912 Mauritania 0.696 Albania 0.500 Syria 2.568 Indonesia 90.080 Australia 63.533 Netherlands 289.830 *Supplies so far (In lakhs)(As on 25 August 2022 at 1700 hrs) https://www.mea.gov.in/vaccine-supply.htm Supplies in form of GRANT, Commercial and COVAX Obligation Kapil K Goel
  • 6. COVAX Initiatives of WHO Working for global equitable access for every country in the world to COVID-19 vaccines It aims to accelerate the development and manufacture of COVID-19 vaccines and to guarantee fair and equitable access for every country in the world. WHO has multiple roles within COVAX: It provides normative guidance on vaccine policy, regulation, safety, R&D, allocation, and country readiness and delivery. “COVAX is co-led by the Coalition for Epidemic Preparedness Innovations (CEPI), Gavi and the World Health Organization (WHO), alongside key delivery partner UNICEF” Kapil K Goel
  • 7. Attitude of India towards world India Supplied 80 % od Doses for COVAX initiatives Kapil K Goel
  • 8. Short Break in Vaccine Maitri • In late March 2021, the Government of India temporarily froze exports of the Covishield, citing India's own COVID crisis and the domestic need for these vaccines. • The Health Minister of India, Mr. Mansukh Mandaviya announced in September that India will resume the export of vaccines from October to the rest of the world. Kapil K Goel
  • 9. VACCINES Covishield • On 1 January 2021, the Drug Controller General of India, approved the emergency or conditional use of Covishield. Covishield is developed by the University of Oxford and its spin-out company, Vaccitech. QUALITATIVE AND QUANTITATIVE COMPOSITION (i) 5 × 1010 virus particles (vp) *Recombinant, replication-deficient chimpanzee adenovirus vector encoding the SARS-CoV-2 Spike (S) glycoprotein. Produced in genetically modified human embryonic kidney (HEK) 293 cells. [This product contains genetically modified organisms (GMOs)] (ii) List of excipients: L-Histidine, L-Histidine hydrochloride monohydrate, Magnesium chloride hexahydrate, Sucrose, Sodium chloride, Disodium edetate dihydrate (EDTA) and water for injection Kapil K Goel
  • 10. VACCINES FROM INDIA • India has two approved COVID-19 vaccines: Covishield and Covaxin. • Both of them were exported and used in foreign grants by the Government of India. • Of the two vaccines, COVAXIN is an inactivated vaccine whereas COVISHIELD is a live vaccine. Kapil K Goel
  • 11. Covaxin • On 2 January 2021, Covaxin India's first COVID-19 vaccine, developed by Bharat Biotech in association with the Indian Council of Medical Research and National Institute of Virology received approval from the Drug Controller General of India for its emergency or conditional usage. • Composition 6µg of whole-virion inactivated SARS-CoV-2 antigen (Strain: NIV-2020- 770), Other inactive ingredients -Aluminium hydroxide gel 250 µg, -TLR 7 / 8 agonist (imidazo quinolinone) 15 µg, - 2-phenoxyethonol 2. 5 mg, - - and phosphate buffer saline upto 0. 5 ml.) Kapil K Goel
  • 12. Vaccine supply • India kicked off international shipment of the vaccines on 20 January 2021, only four days after starting its own vaccination program. • Bhutan and Maldives were the first countries to receive vaccines as a grant by India. • This was quickly followed by shipments to Nepal, Bangladesh, Myanmar and Seychelles. • By mid-March 2021, India was also supplying vaccines on a commercial basis to countries including Canada, UK and Saudi Arabia. • In May, when COVAX was already short 140 million doses, the Serum Institute announced that it expected to maintain its suspension of vaccine deliveries to COVAX through the end of 2021 due to the second wave of COVID-19 in India and the US ban on export of key raw materials. Kapil K Goel
  • 13. Self centered Countries during pandemic Kapil K Goel
  • 14. International reaction on Vaccine Maitri • International Monetary Fund (IMF) IMF chief economist Gita Gopinath appriciated India for playing a key role during the crisis by dispatching vaccines to many countries. She said "I also want to mention that India really stands out in terms of its vaccine policy. If you look at where exactly is one manufacturing hub for vaccines in the world – that will be India Kapil K Goel
  • 15. Countries Reactions on Vaccine Maitri • Jamaica of the Organisation of African, Caribbean and Pacific States (OACPS) has thanked Indian efforts in delivering vaccines to developing and least developed countries. Nepal Prime minister Khadga Prasad Oli thanked India stating; “We got an early chance to administer the Covid-19 vaccine. For this, I thank our neighbouring nation India, its government, the people, and especially Prime Minister Narendra Modi. They sent 10 lakh doses of vaccines to us as a grant within a week of the roll-out in India.” Kapil K Goel
  • 16. Bhutan and Bangladesh • Until April 2021, India was one of the world’s leaders in vaccine diplomacy- delivering over 65 million doses worldwide. During that time, Indian made strides in improving its relations with recipient neighbors like Nepal and Bangladesh. Kapil K Goel
  • 17. • Antigua and Barbuda Prime Minister Gaston Browne had thanked Prime Minister of India Narendra Modi "for demonstrating an act of benevolence, kindness and empathy", for sending vaccines to Caribbean countries. • Afghanistan Afghanistan's ambassador to India Farid Mamundzay said "Thank you, India for providing Afghan people lifesaving gift on the first day of 2022!" Kapil K Goel
  • 18. St. Lucia,Barbados and Combodia St. Lucia on behalf of CARICOM thanked India for providing vaccine supplies to them.[21][23] Barbados Prime Minister Mia Amor Mottley thanked Prime Minister Narendra Modi for the supply of "Made in India" COVID-19 vaccines. She tweeted, "PM Modi made it possible for more than 40,000 persons in Barbados and tens of thousands elsewhere, to receive their 1st dose of COVISHIELD via Vaccine Maitri before receiving his. A genuine demonstration of generosity. Thank you and we wish you continued good health. Leaders who received vaccines provided by India for promoting Indian Vaccine in his own countires • Cambodia – Heng Samrin, Say Chhum • Nepal – KP Sharma Oli Kapil K Goel
  • 19. Indonesia, Thailand and Srilanka • In July 2021,Indonesia and Thailand announced that they were moving away from Chinese Sinovac vaccines because of concerns of their quality and efficacy. They decided on other vaccines like those created by AstraZeneca (of which India is one of the largest producers). • Additionally, other countries like Sri Lanka have seen controversies concerning the high financial cost of the Chinese vaccines. Kapil K Goel
  • 20. International actions in COVID 19 Pandemic • WHO and the European Union joined forces to support eight South East Asian countries in their response to COVID-19 and to strengthen preparedness for future pandemics. • The EU recently donated €20 million for a South East Asia pandemic response and preparedness programme. WHO will use the funds to continue supporting the governments of Cambodia, Indonesia, Lao People’s Democratic Republic, Malaysia, Myanmar, the Philippines, Thailand and Viet Nam. Kapil K Goel
  • 21. QUAD Reaction • In September 2021, the international group known as the Quad (comprised of the US, Japan, Australia, and India) reiterated support for the Quad Vaccine Partnership, which aims to pool each country’s resources to provide around 1 billion vaccines to be distributed globally by the end of 2022. This a strong alternative for countries either considering or already receiving vaccines from China. Kapil K Goel
  • 22. South Asian Countries • However, many South Asian countries prefer a balance of power between India and China in the region and are therefore eager to see India shipping vaccines at full capacity again. Kapil K Goel
  • 23. Challenges • The opportunity is there for India, but whether India will permanently become a reliable vaccine exporter or shrink away again in the face of another wave remains to be seen. Kapil K Goel